President Trump has selected Alex Azar, a former pharmaceutical executive and a top health official during the George W. Bush administration, to lead the Health and Human Services Department.

In announcing that he is nominating Azar to be secretary of the government’s largest civilian department, the president turned to a health-policy insider and conservative thinker. Azar spent a decade at Eli Lily and Co., including five years as president of Lilly USA, its biggest affiliate, before stepping down in January to work as a health-care consultant. He previously was HHS general counsel, then served for two years as the department’s second-in-command.